14
THE NEW ZEALAND GAZETTE.
[No. 1

(Sec. 108.)
[Form I.C. 5c.
Under the Industrial Conciliation and Arbitration Act, 1925.
CERTIFICATE OF CHAIRMAN OF UNION FOR REFERENCE OF
INDUSTRIAL DISPUTE FOR SETTLEMENT.
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between and .

THIS is to certify—
(1.) That I, , presided on the day of , 19 , at a special meeting of the Industrial Union
of , duly convened, constituted, and held in manner
provided by the rules of the said union.
(2.) That the meeting was convened by circular [or as the
case may be], a copy of which is attached hereto, marked
“A,” and a copy of which was posted to each member of
the said union.
(3.) That the following resolution was passed by secret
ballot at the said meeting: [Set out resolution].
(4.) That the total number of members present at the
meeting was , of whom voted in favour of
the resolution.
(5.) That the result of the ballot has been recorded in the
minutes of the said union.
Dated at , this day of , 19 .
_ , Chairman.

—

(Sec. 42.)
[Form I.C. 5d.
Under the Industrial Conciliation and Arbitration Act, 1925.
CITATION OF RESPONDENT AND NOTICE TO APPOINT ASSESSORS.
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between and .

To the respondent[s].

I HEREBY give notice that I have appointed , the
day of , 19 , at o’clock in the
noon, as the time, and as the place, for the
hearing of the above-mentioned dispute; and you are hereby
notified of your right to attend at the hearing thereof if you
wish to do so, and to recommend, at least three clear days
before the said date, qualified persons for appoint-
ment as assessors at the said hearing.

You may file with the Clerk of Awards at _ , not
later than three clear days before the hearing of the dispute,
a statement in detail admitting such of the claims of the
applicant[s] as you desire to admit, or making a counter-
proposal with respect to the claims of the applicant[s] or
some or one of them. On the hearing of the dispute no
counter-proposal by you will be considered other than the
proposals contained in the said statement, except with the
leave of the Commissioner on such terms and conditions as
he deems just.

If you file such a statement you are required to file as
many copies thereof as there are applicant parties, and twenty
additional copies.

A copy of the application for the hearing of the said dis-
pute is enclosed herewith.

I hereby give you further notice that all further notices
in connection with this dispute will be served by advertise-
ment in such daily newspapers circulating in the district as
the Clerk of Awards may deem sufficient.

Dated at , this day of , 19 .
, Commissioner.

—

Sec. 42.)
[Form I.C. 5dd.
Under the Industrial Conciliation and Arbitration Act, 1925.
CITATION OF RESPONDENT AND NOTICE TO APPOINT ASSESSORS.
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between and .

To the respondent[s].

I HEREBY give notice that your name is included in the
list of respondents in the above-mentioned dispute. This
list may be seen by you, if required, at the office of the Clerk
of Awards in any of the industrial districts to which the
dispute relates.

I hereby give further notice that I have appointed the
day of , 19 , at o’clock in the
noon, as the time, and as the place, for the
hearing of the above-mentioned dispute; and you are hereby
notified of your right to attend at the hearing thereof if you
wish to do so, and to recommend, at least three clear days
before the said date, _ qualified persons for appoint-
ment as assessors at the said hearing.

You may file with the Clerk of Awards at _ , not
later than three clear days before the hearing of the dispute,
a statement in detail admitting such of the claims of the
applicant[s] as you desire to admit, or making a counter
proposal with respect to the claims of the applicant[s] or
some or one of them. On the hearing of the dispute no
counter-proposal by you will be considered other than the
proposals contained in the said statement, except with the
leave of the Commissioner on such terms and conditions as
he deems just.

If you file such a statement you are required to file as
many copies thereof as there are applicant parties, and twenty
additional copies.

A copy of the application for the hearing of the dispute
(omitting the list of respondents) is enclosed herewith.

I hereby give you further notice that all further notices
in connection with this dispute will be served by advertise-
ment in such daily newspapers circulating in the district as
the Clerk of Awards may deem sufficient.

Dated at , this day of , 19 .
, Commissioner.

—

(Secs. 42 and 43.)
[Form I.C. 5e.
Under the Industrial Conciliation and Arbitration Act, 1925.
PERSONS RECOMMENDED BY RESPONDENTS* FOR APPOINT-
MENT AS ASSESSORS IN THE HEARING OF INDUSTRIAL
DISPUTE.
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between , and .

To the Clerk of Awards at _ .

THE following persons are recommended for appointment
as assessors in the hearing of the above-mentioned industrial
dispute, viz.:—

Name. Address. Occupation.†

Dated at , the day of , 19 .
, Respondent[s]

• If the respondents cannot agree in the recommendation of assessors,
  separate recommendations may be made by the several respondents.
  † Every person recommended must be or have been actually and bona
  fide engaged or employed either as an employer or as a worker in the
  industry, or in any one of the industries, in respect of which the dispute
  has arisen; provided that the Commissioner may in special circum-
  stances appoint as one of the assessors a person who is not so qualified.

—

(Secs. 41 and 43.)
[Form I.C. 5f.
Under the Industrial Conciliation and Arbitration Act, 1925.
APPOINTMENT OF ASSESSORS TO COUNCIL OF CONCILIATION.
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between and .

I, [Name], the Conciliation Commissioner for the
Industrial District, hereby appoint the following persons to
be assessors for the hearing of the above-mentioned indus-
trial dispute, viz.:—

FOR THE APPLICANT [or RESPONDENT].
Name. Address. Occupation.

Given under my hand, at , this day of
, 19 .
, Commissioner.

—

Sec. 47.)
[Form I.C. 6a.
Under the Industrial Conciliation and Arbitration Act, 1925.
WARRANT TO APPEAR AS AGENT BEFORE COUNCIL OF
CONCILIATION.
(On behalf of Employer.)
In the matter of the Industrial Conciliation and Arbitration
Act, 1925.

Between and .

[Name], of [Address and occupation], is hereby authorized
to appear for me as agent in the hearing of the above-mentioned
dispute.

Dated at , this day of , 19 _ .
[Signature.]